ISSN 0018-0661. Received May 11, 1981 Direct bone marrow preparations for chromosome analysis in 376 patients with leukemia and/or myeloproliferative disease revealed 40 cases in which the stemlines contained varying frequencies of double minutes (DM). In the case presented, part of the DM were clearly ring-shaped and bore an amazing resemblance to those recently described in a subline of the SEWA mouse ascites sarcoma. A comparative study of incidence and morphology of the DM of the 2 materials was therefore undertaken. While they shared many characteristics, the main difference between them was the striking functional stability of the human DM versus the highly erratic behavior of the murine DM. It was striking that about half of the 12-13 cases of DM in leukemia from the literature resembled the present case in having fairly large, ring-shaped DM that, although most likely acentric, maintained a remarkable mitotic stability. The genes they carry, which speculatively may be assumed to stimulate the malignant capacity of the leukemic cells, are therefore incorporated in the stemline karyotype much more permanently than ifthey had been carried by "ordinary" DM. In a recent preliminary communication, one of us has reported the finding of double minutes (DM) in the neoplastic stemlines of 40 among 376 patients presenting with preleukemia, acute leukemia and/or myeloproliferative disease ( MARINELLO et al. 1980). In 35 cases, the DM had the ordinary appearance of small or medium-sized double structures with a diameter not exceeding the chromatid breadth of the chromosomes. Their number usually varied from 0 to 5-6 per cell. In one case the DM were numerous, very small, almost "dust-like" particles, while in 4 cases they were large, their diameter being equal to or larger than the ordinary chromatid breadth. The shape of the large DM was usually ring-like.Ring-like DM of varying sizes were recently described in a transplantable murine ascites sarcoma, called SEWA. During a limited period of 1979, one specific subline of this tumor, SEWAIR, occasionally contained large DM and some of the largest were obvious rings (LEVAN and LEVAN 1980).Since large, ring-shaped DM have rarely been available for study, we decided to describe, in some detail, the DM of one of the human leukemia cases and to compare them with the DM of the SEWA sarcoma. In the present paper, we wish to report the case of a patient with acute myelocytic leukemia (AML) whose karyotype showed a low but rather consistent number of large and medium-sized ring DM in every malignant metaphase examined, to briefly review the SEWA findings, and to discuss the two.